A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following information should the nurse include?
Hearing loss is considered a development factor that has minimal effect on nurse-client communication.
Clients who have developmental deficits are less distracted by environmental noises than client who do not have these deficits.
Nurses might focus on a client's physiological needs over psychosocial needs when communicating during care.
Nurses caring for clients experiencing a highly emotional situation report that communication is rarely affected.
The Correct Answer is D
A. Hearing loss is a significant factor that can significantly impact nurse-client communication. Clients with hearing loss may have difficulty understanding what is being said, leading to misunderstandings and frustration.
B. Clients with developmental deficits may be more sensitive to environmental noises and distractions, which can make it difficult to focus on communication.
C. This can be a significant barrier to effective communication, as it can lead to neglecting the client's emotional and psychological needs. It's important for nurses to be aware of this tendency and to make a conscious effort to address both the physical and emotional needs of their clients.
D. Emotional factors can significantly affect communication. When clients are experiencing a highly emotional situation, they may be more likely to become overwhelmed, anxious, or defensive, which can make it difficult to communicate effectively.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["E"]
Explanation
A. This reflects primary care. Teaching clients about exercise is aimed at promoting health and preventing disease, which is a fundamental aspect of primary healthcare.
B. This also pertains to secondary care. Regular exams are important for early detection of health issues, helping to catch problems before they become more serious. This activity does not reflect tertiary care.
C. This activity is related to secondary care. A mammogram is a screening tool used for early detection of breast cancer. Assisting with this procedure does not represent tertiary care, as it focuses on prevention and early diagnosis rather than treatment of an established condition.
D. This is another example of primary care. Educating clients about safe habits is aimed at promoting health and preventing injury or illness, which aligns with primary prevention efforts.
E. This is the correct choice and reflects tertiary care. Transplant surgery is a complex procedure that involves specialized medical intervention for individuals with severe health conditions. It is focused on treatment after a disease has progressed, which is characteristic of tertiary care.
Correct Answer is A
Explanation
A. The Code of Ethics for nurses emphasizes the importance of confidentiality and respecting patient privacy. Accessing a client's medical record without a legitimate reason or involvement in their care violates ethical principles regarding patient rights and privacy.
B. Evidence-based practice involves integrating the best available research with clinical expertise and patient values to inform decision-making. While this standard is important for providing high-quality care, it does not directly relate to the unauthorized access of a client's medical record.
C. Collaboration in nursing refers to working together with other healthcare professionals and the patient to provide coordinated care. While accessing a medical record without involvement in care does not align with collaborative practice, it is not the primary standard being violated in this situation.
D. The quality of practice standard focuses on providing high-quality care and improving patient outcomes. While unethical behavior, such as accessing records without proper justification, could impact quality, this option does not specifically address the violation related to confidentiality and privacy.
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